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Chronic groin pain after hip replacement
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doublehippy posted:
Hello....
I have bi-lateral hip replacements, one done with the posterior/lateral approach and the more recent (6 years) with the anterior approach...no muscles/ligaments cut (left side). I have chronic, deep-seated groin/pelvic area pain on that side. Went thru all the "big" tests....aspiration and bone scan and infection/loosening was ruled out. It's almost as though something is being "impinged" in there..with certain movements. The pain will wake me in the middle of the night when I try to straighten my bent leg. No pain when walking...but it does hurt to cough (hernia ruled out) and, often times, I have to lift my leg manually to get into my car. I do have moderate degenerative disk disease and lumbar stenosis and it's been suggested the groin pain could be coming from my back. I really don't feel it is...it definately feels like a "mechanical" issue with the ball part of the prosthesis...or possibly some bursitis? I plan on seeing my OS soon (again) but, when he looks at my x-rays, he assures me that all looks good. What sort of tests should I ask for to test for impingement? I'm at my wit's end with this pain....Thanks so much for reading!
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An_251208 responded:
I had the anterior approach in right hip 2.5 yrs ago and the only thing I don't suffer with NOW is groin pain...prior to replacement groin pain was HORRIBLE, it had to be the main reason I opted for the replacement...

I have a lot of complications from the surgery including IT band damage down the right thigh and horrible spinal stenosis since hip replacement...HORRIBLE I say.

I've done so much in the last 2.5 yrs including 16 sessions of acupuncture and mesotherapy injections from my integrative rheumy...they helped...

Prolotherapy can be a positive protocol for certain issues...I've had Prolo in a shoulder and got good results...

I'm now taking a new supplement called Antabloc which works on INFLAMMATION...I'm going on 3 months with it... I'm not a happy camper with this hip replacement...but it's done.
 
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scheper responded:
My husband is talking about the anterior approach because his orthopedic surgeon friend ( who does not do hips) recommends it. Worth it or not? Longer or shorter recovery time?

Thanks.
 
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An_251542 responded:
Do you know the manufacturer of your hips, & are they metal on metal, or do they have plastic ball & socket? I also have had double hip replacements, & it makes a huge difference what type of artificial hips are used! My surgeon only uses Smith & Nephew. He has never had any success with any other manufacturer. Something to consider, the groin pain may truly be referred back pain. Once you have a hip problem resolved, the pain that was in the background, such as back pain, comes to the surface and gets worse. I don't want to discourage you, but, within 2 years after my mother had her total hip replacement, she had to have spinal surgery, which has completely resolved all her severe groin pain


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